Devices and methods for temporarily retaining spinal rootlets within dural sac
Devices and methods for temporarily retaining spinal rootlets within a dural sac are provided. In this regard, a representative device includes: a handle operative to be grasped by a user; an arm extending outwardly from the handle; and moveable fins supported at a distal end of the arm, the fins being moveable between an unbiased position and a biased position; in the biased position, free ends of the fins having been moved toward each other such that an extent of the fins along a major axis is decreased relative to an extent of the fins along the major axis in the unbiased position.
In accordance with 37 C.F.R. 1.76, a claim of priority is included in an Application Data Sheet filed concurrently herewith. Accordingly, the present invention claims priority as a divisional application of U.S. patent application Ser. No. 12/604,520, entitled “DEVICES AND METHODS FOR TEMPORARILY RETAINING SPINAL ROOTLETS WITHIN DURAL SAC”, filed on Oct. 23, 2009. The contents of the above referenced application is incorporated herein by reference in its entirety.
FIELD OF THE INVENTIONThe disclosure generally relates to spinal surgery.
BACKGROUND OF THE INVENTIONThe human spine is composed of a column of thirty-three bones, called vertebrae, and their adjoining structures. The twenty-four vertebrae nearest the head are separate bones and are capable of individual movement. These vertebrae are generally connected by anterior and posterior longitudinal ligaments and by discs of fibrocartilage, called intervertebral discs, positioned between opposing faces of adjacent vertebral bodies. The remaining nine vertebrae are fused to form the sacrum and the coccyx and are incapable of individual movement. The vertebral body and the dorsal vertebrae enclose an opening termed the vertebral foramen, through which the spinal cord, a column of nerve tissue which communicates nerve impulses between the brain and the rest of the body, and spinal nerve roots pass and are protected from damage.
In this regard,
All patents and publications mentioned in this specification are indicative of the levels of those skilled in the art to which the invention pertains. All patents and publications are herein incorporated by reference to the same extent as if each individual publication was specifically and individually indicated to be incorporated by reference.
It is to be understood that while a certain form of the invention is illustrated, it is not to be limited to the specific form or arrangement herein described and shown. It will be apparent to those skilled in the art that various changes may be made without departing from the scope of the invention and the invention is not to be considered limited to what is shown and described in the specification and any drawings/figures included herein.
One skilled in the art will readily appreciate that the present invention is well adapted to carry out the objectives and obtain the ends and advantages mentioned, as well as those inherent therein. The embodiments, methods, procedures and techniques described herein are presently representative of the preferred embodiments, are intended to be exemplary and are not intended as limitations on the scope. Changes therein and other uses will occur to those skilled in the art which are encompassed within the spirit of the invention and are defined by the scope of the appended claims. Although the invention has been described in connection with specific preferred embodiments, it should be understood that the invention as claimed should not be unduly limited to such specific embodiments. Indeed, various modifications of the described modes for carrying out the invention which are obvious to those skilled in the art are intended to be within the scope of the following claims.
SUMMARY OF THE PRESENT INVENTIONDevices and methods for temporarily retaining spinal rootlets within a dural sac are provided. In this regard, an exemplary embodiment of a device comprises: a handle operative to be grasped by a user; an arm extending outwardly from the handle; and moveable fins supported at a distal end of the arm, the fins being moveable between an unbiased position and a biased position; in the biased position, free ends of the fins having been moved toward each other such that an extent of the fins along a major axis is decreased relative to an extent of the fins along the major axis in the unbiased position.
An exemplary embodiment of a method for temporarily retaining spinal rootlets within a dural sac comprises: providing a device having: a handle, an arm and moveable fins, the fins being supported at a distal end of the arm, the fins being moveable between an unbiased position and a biased position; inserting the fins into an opening in the dural sac such that the fins are positioned between the dural sac and the rootlets and such that the rootlets are retracted within the dural sac; closing a portion of the opening adjacent to a first of the fins; removing the fins from the dural sac; and closing a remaining portion of the opening.
Other systems, methods, features and/or advantages of this disclosure will be or may become apparent to one with skill in the art upon examination of the following drawings and detailed description. It is intended that all such additional systems, methods, features and/or advantages be included within this description and be within the scope of the present disclosure.
Other objects and advantages of this invention will become apparent from the following description taken in conjunction with any accompanying drawings wherein are set forth, by way of illustration and example, certain embodiments of this invention. Any drawings contained herein constitute a part of this specification and include exemplary embodiments of the present invention and illustrate various objects and features thereof.
Many aspects of the disclosure can be better understood with reference to the following drawings. The components in the drawings are not necessarily to scale. Moreover, in the drawings, like reference numerals designate corresponding parts throughout the several views.
Devices and methods for temporarily retaining spinal rootlets within a dural sac are provided, several exemplary embodiments of which will be described in detail. In this regard, reference is made to the schematic diagram of
Arm 104 extends outwardly from the handle and exhibits a distal bend 108. In other embodiments, a straight arm configuration or a configuration that includes multiple bends can be used.
Moveable fins 105, 106 are supported at a distal end of arm 104 and extend generally along a major axis 110. The fins oppose each other in this embodiment and generally reside within a plane when in an unbiased position (depicted in
Fin 105 is a proximal fin (i.e., located closer to the handle) and fin 106 is a distal fin (i.e., located farther from the handle). In the embodiment of
In the embodiment of
In
Also shown in
It should be noted that the holes in the distal fin facilitate outward flow of spinal fluid (depicted by arrow A) through the opening 140. This directed flow of spinal fluid may facilitate a more efficient closing of opening 140 at a location adjacent the proximal fin 134, as fluid that may otherwise depart the opening in a vicinity of the proximal fin is reduced (i.e., rerouted toward the holes in the distal fin). In some embodiments, holes for directing spinal fluid may be concentrated toward the free end of a fin, although various other configurations can be used.
One manner of closing of the opening 140 is begun adjacent the proximal fin as depicted in
As shown in
It should be emphasized that the above-described embodiments are merely possible examples of implementations set forth for a clear understanding of the principles of this disclosure. Many variations and modifications may be made to the above-described embodiments without departing substantially from the spirit and principles of the disclosure. All such modifications and variations are intended to be included herein within the scope of this disclosure and protected by the accompanying claims.
Claims
1. A method for temporarily retaining spinal rootlets within a dural sac comprising:
- providing a device having: a handle, an arm and a flexible elongated body traversable between a first position and at least one second position and defined by a first fin having an end region defining a first elongated flexible body terminal end and a second fin having an end region defining a second elongated flexible body terminal end, said fins being supported at a distal end of the arm, said fins formed from an inert flexible silicone elastomer being moveable between an unbiased position and a biased position configured for ease of removal from a partially sutured dural sac opening;
- inserting the fins into an opening in the dural sac wherein the fins are positioned between the dural sac and the rootlets in order to provide that the rootlets are retracted by the fins within the dural sac thereby providing a protective barrier to reduce potential damage to the rootlets;
- closing a portion of the opening adjacent to a first of the fins;
- removing the fins from the dural sac; and closing a remaining portion of the opening.
2. The method of claim 1, wherein removing said flexible elongated body comprises drawing the arm away from the dural sac such that free ends of the fins are moved toward each other by pressure from dural sac to permit extraction of the fins from the remaining opening.
3. The method of claim 1, wherein:
- said first fin has holes formed therethrough and second fin lacks holes; and
- inserting the fins comprises inserting the fins such that said second fin is positioned adjacent to a portion of the opening in the dural sac to be first closed such that spinal fluid is able to flow through the holes of said first fin and away from the portion of the opening to be first closed.
5649945 | July 22, 1997 | Ray et al. |
5741261 | April 21, 1998 | Moskovitz |
5753456 | May 19, 1998 | Naqui |
5797909 | August 25, 1998 | Michelson |
5803904 | September 8, 1998 | Mehdizadeh |
5871484 | February 16, 1999 | Spievack |
5971987 | October 26, 1999 | Huxel |
6007487 | December 28, 1999 | Foley |
6045579 | April 4, 2000 | Hochshuler |
6143033 | November 7, 2000 | Paul |
6231577 | May 15, 2001 | Canedy |
6261295 | July 17, 2001 | Nicholson |
6368325 | April 9, 2002 | McKinley |
6379385 | April 30, 2002 | Kalas |
6383221 | May 7, 2002 | Scarborough |
6425920 | July 30, 2002 | Hamada |
6500180 | December 31, 2002 | Foley |
6517544 | February 11, 2003 | Michelson |
6524320 | February 25, 2003 | DiPoto |
7198598 | April 3, 2007 | Smith |
7815649 | October 19, 2010 | Layne |
8388525 | March 5, 2013 | Poo |
20010010021 | July 26, 2001 | Boyd |
20020082604 | June 27, 2002 | Abdelgany |
20020120346 | August 29, 2002 | Boyer, II |
20020161449 | October 31, 2002 | Muschler |
20030039676 | February 27, 2003 | Boyce |
20030195520 | October 16, 2003 | Boyd |
20030199874 | October 23, 2003 | Michelson |
20030236447 | December 25, 2003 | Ritland |
20040002711 | January 1, 2004 | Berry |
20040002712 | January 1, 2004 | Grinberg et al. |
20050107671 | May 19, 2005 | McKinley |
20050165408 | July 28, 2005 | Puno et al. |
20050228233 | October 13, 2005 | Ritland |
20050261681 | November 24, 2005 | Branch |
20060052670 | March 9, 2006 | Stearns et al. |
20070123890 | May 31, 2007 | Way |
20080108876 | May 8, 2008 | Houser |
20080132764 | June 5, 2008 | Hamada |
20080221628 | September 11, 2008 | Milbocker |
20080300601 | December 4, 2008 | Fabian |
20110098705 | April 28, 2011 | Chappuis |
20120010471 | January 12, 2012 | Mire |
20150005614 | January 1, 2015 | Heggeness |
Type: Grant
Filed: Mar 16, 2015
Date of Patent: Sep 13, 2016
Patent Publication Number: 20150182212
Inventor: James L. Chappuis (Atlanta, GA)
Primary Examiner: Ellen C Hammond
Assistant Examiner: Stuart S Bray
Application Number: 14/658,978
International Classification: A61B 17/56 (20060101); A61B 17/02 (20060101); A61B 17/34 (20060101);